Episode 31: Dr. Mark Stein: What You Need to Know About ADHD Treatment Across the Lifespan
episode
ADHD, Autism, And Anxiety: Breaking Out of The Box
48 min
2 speakers
8 chapters
transcribed 1 month ago
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Transcript generated automatically by AI and may contain errors.
What is ADHD and why is it considered a heterogeneous disorder?
Welcome to your Neurodivergent Village, ADHD, Autism, and Anxiety Breaking Out of the Box. We're glad you found us. Join Dr. Noreen Russell as she dives deep into understanding and navigating the complexities of ADHD, autism, and anxiety. For both parents and professionals. Our hope is that you feel validated, comforted, and inspired. So as we joined Dr. Russell Relax. Take a breath. And know that you're not alone.
Hello everyone and welcome to this episode of ADHD Autism and Anxiety Breaking Out of the Box. I'm your host, Dr. Noreen Russell, and I am thrilled to tell you that we have Dr. Mark Stein with us today, who is a true expert in ADHD treatment. And on this episode, we're really going to get to some of the deeper, more complex issues about ADHD treatment. Doctor Stein, would you mind introducing yourself? You've got a list of credentials a mile long and I don't want to get any of them wrong.
Sure. No worries. Um yeah, so uh I'm a uh clinical psychologist and I'm a professor of psychiatry and pediatrics at University of Washington. And I'm the founder of the um Pearl Clinic, the program to enhance attention regulation and learning. at Seattle Children's and then I have a private practice focused on adult and adolescent ADHD. And I've been a clinician and a researcher focusing on ADHD for over thirty years.
Thirty years of experience is a long time.
It goes quickly. So
I want to share with our audience what you have for your passion statement. And what I like about this is it's so personal and it really tells us why this matters to you. I first became interested in ADHD and stimulant medications when I was a camp counselor of 12 seven-year-old boys. One of my exuberant campers would chase butterflies, but would not play kickball or follow directions. One day he seemed very different. That day he followed the rules of the game and even scored a run. His personality was different also, more serious and quiet, and he had no appetite for lunch. I've spent the last 30 years studying ADHD treatment effects, both positive and negative. I want to spend the next 10 learning how to sequence and deliver individualized treatments for the impairments related to ADHD and to train others who see children, adolescents, and adults in managing this commonly misunderstood disorder.
I don't think there is a person in our audience who would not agree with you that this is a commonly misunderstood disorder. So again, thank you for being here. Sure, sure.
No, I mean it um it highlights for me kind of the um uh why ADHD is is uh so interesting because it's so different. If you've seen one child with ADHD, you've seen one child with ADHD. Um But uh the other thing about ADHD is the joy of having a disorder where we can actually see major changes in people's lives. Uh we know so much about this disorder, we don't know everything about it, but we know an awful lot about it and we certainly have effective treatments, but we haven't really learned how to deliver them uh to the people that really need them, especially those that need them most. So that's kind of the challenge.
And that's what you've been working on. So let's begin. Um, I've got a number of questions that we've talked about ahead of time. And if you don't mind, I'm gonna follow them through because I want to make sure that we get to this in depth complex information that you have for our audience. So You've spent your career studying ADHD and one of the themes in your work is that ADHD isn't a single condition. But a collection of different pathways that lead to similar symptoms. How close are we to moving beyond a singular ADHD diagnosis? And let's be clear for our audience who's intelligent, ADHD with or without hyperactivity is the current diagnostic label. And how close are we to identifying meaningful subtypes that actually change treatment decisions?
Um well I I think ten years ago I would have thought we were closer than. Um it it seems like one of the challenges as we've expanded the definition, uh some of our research findings from ten to twenty years ago don't hold.
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Chapters
8 chapters
1
What is ADHD and why is it considered a heterogeneous disorder?
0:01–6:21
2
How does Dr. Stein explain the need for personalized, lifespan‑focused treatment?
6:21–14:27
3
Why is treating parents with ADHD before their children important?
14:27–21:10
4
What role does sleep evaluation play in effective ADHD management?
21:10–27:18
5
How should ADHD medication be titrated and monitored for optimal results?
27:18–33:39
6
When should behavioral therapy be combined with medication across different ages?
33:39–41:08
7
What are the long‑term goals and hopeful outcomes for people with ADHD?
41:08–46:27
8
What practical steps can families take to coordinate care and improve outcomes?
46:27–48:16
Speakers
2 identifiedMore from ADHD, Autism, And Anxiety: Breaking Out of The Box
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Episode 34: Dr. Justin Barterian Tells Us If Your ADHD Assessment Was Done Right
Episode 33: Dr. David Helfand, Marriage, ADHD and Autism, and Getting a Year of Therapy Done in One Weekend